Headache and Migraine Relief
Join hundreds of patients who have had permanent relief from headaches and migraines! Our published treatment program reduces and eliminates pain quickly and efficiently.
Effective, Research-Based Treatments for Headaches and Migraines
Over 90% success rate in reduction of headache frequency and intensity using electric dry needling, spinal manipulation, and myofascial release work for qualified patients who suffer from migraines, tension-type, and cervicogenic headaches.
Feel a reduction in headache and migrainte pain after your first session with our published protocol.
Pain Reduction that Lasts
At 3 months post-treatment patients still have the same reduction in headache and migraine pain
We target structures in the upper neck and head to desensitize the nerve responsible for headache and migraine pain.
Treatments will help to improve cognitive performance.
Headaches: What Type Do You Have?
Patients typically suffer from three primary classifications of headaches: cervicogenic, tension-type, and migraines. Cervicogenic headaches are defined as either right-sided or left-sided headaches that do not change sides within the same headache.1Moreover, patients that suffer from cervicogenic headaches typically experience neck pain from movement and/or palpation and limited cervical range of motion, which often reproduces familiar headache symptoms.1While migraine headaches have moderate to severe intensity and can occur with or without aura, they are also typically unilateral headaches that are aggravated by routine physical activity.2In contrast, the International Headache Society defines tension-type headaches as having mild or moderate pain intensity on both sides of the head equally, pressing/tightening (non-pulsating) quality, phonophobia or photophobia without nausea or vomiting, and pain that is not aggravated by routine activity or attributed to another disorder.3, 4
Click Below to Read Our Published Research on Treatment for Headaches and Migraines
Spinal Manipulation and Perineural Electrical Dry Needling in Patients with Cervicogenic Headaches: A Multicenter Randomized Clinical Trial
Upper Cervical and Upper Thoracic Manipulation Versus Mobilization and Exercise in Patients with Cervicogenic Headache: A Multicenter Randomized Clinical Trial
Pain, Migraines, & Mobility of the Cervical Vertebrae with Winback Tecartherapy
Manual Therapy and Exercise for Headaches and Migraines
A number of randomized control trials have demonstrated that myofascial and soft tissue techniques targeting the head, neck, and scapula, are effective treatment strategies for cervicogenic and tension-type headaches.26Exercise has also resulted in clinically meaningful reduction in pain associated with these headache types.26, 27
Get Relief Now
Reclaim days of your life with Symmetry Physical Therapy's published physical therapy headache relief treatments. We are here to help.
- Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: diagnostic criteria. The Cervicogenic Headache International Study Group. Headache. 1998;38(6):442-5.
- Blum ASS, Riggins NY, Hersey DP, Atwood GS, Littenberg B. Left- vs right-sided migraine: a scoping review. J Neurol. 2023;270(6):2938-49.
- Rossi P, Vollono C, Valeriani M, Sandrini G. The contribution of clinical neurophysiology to the comprehension of the tension-type headache mechanisms. Clin Neurophysiol. 2011;122(6):1075-85.
- Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
- Sedy J, Rocabado M, Olate LE, Vlna M, Zizka R. Neural Basis of Etiopathogenesis and Treatment of Cervicogenic Orofacial Pain. Medicina (Kaunas). 2022;58(10).
- Puledda F, Silva EM, Suwanlaong K, Goadsby PJ. Migraine: from pathophysiology to treatment. J Neurol. 2023;270(7):3654-66.
- Fernandes EC, Carlos-Ferreira J, Luz LL, Kokai E, Meszar Z, Szucs P, et al. Processing of trigeminocervical nociceptive afferent input by neuronal circuity in the upper cervical lamina I. Pain. 2022;163(2):362-75.
- Castien R, De Hertogh W. A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain. Front Neurol. 2019;10:276.
- Erdener SE, Kaya Z, Dalkara T. Parenchymal neuroinflammatory signaling and dural neurogenic inflammation in migraine. J Headache Pain. 2021;22(1):138.
- Hurwitz EL, Carragee EJ, van der Velde G, Carroll LJ, Nordin M, Guzman J, et al. Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009;32(2 Suppl):S141-75.
- Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat. 2010;18:3.
- Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Penas C, Hagins M, et al. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskelet Disord. 2016;17:64.
- Jiang W, Li Z, Wei N, Chang W, Chen W, Sui HJ. Effectiveness of physical therapy on the suboccipital area of patients with tension-type headache: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2019;98(19):e15487.
- Rist PM, Hernandez A, Bernstein C, Kowalski M, Osypiuk K, Vining R, et al. The Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review and Meta-Analysis. Headache. 2019;59(4):532-42.
- Jung A, Eschke RC, Struss J, Taucher W, Luedtke K. Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis. Cephalalgia. 2022;42(9):944-65.
- Chaibi A, Benth JS, Tuchin PJ, Russell MB. Chiropractic spinal manipulative therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled trial. Eur J Neurol. 2017;24(1):143-53.
- Butts R, Dunning J, Perreault T, Maurad F, Grubb M. Peripheral and Spinal Mechanisms of Pain and Dry Needling Mediated Analgesia: A Clinical Resource Guide for Health Care Professionals. International Journal of Physical Medicine and Rehabilitation. 2016;216(4:2).
- Dunning J, Butts R, Zacharko N, Fandry K, Young I, Wheeler K, et al. Spinal manipulation and perineural electrical dry needling in patients with cervicogenic headache: a multicenter randomized clinical trial. Spine J. 2021;21(2):284-95.
- Venancio RA, Alencar FG, Jr., Zamperini C. Botulinum toxin, lidocaine, and dry-needling injections in patients with myofascial pain and headaches. Cranio. 2009;27(1):46-53.
- Lee MS, Ernst E. Acupuncture for pain: an overview of Cochrane reviews. Chin J Integr Med. 2011;17(3):187-9.
- Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database Syst Rev. 2009(1):CD007587.
- Carville S, Padhi S, Reason T, Underwood M, Guideline Development G. Diagnosis and management of headaches in young people and adults: summary of NICE guidance. BMJ. 2012;345:e5765.
- Linde K, Allais G, Brinkhaus B, Fei Y, Mehring M, Vertosick EA, et al. Acupuncture for the prevention of episodic migraine. Cochrane Database Syst Rev. 2016(6):CD001218.
- Jena S, Witt CM, Brinkhaus B, Wegscheider K, Willich SN. Acupuncture in patients with headache. Cephalalgia. 2008;28(9):969-79.
- Yang CP, Chang MH, Liu PE, Li TC, Hsieh CL, Hwang KL, et al. Acupuncture versus topiramate in chronic migraine prophylaxis: a randomized clinical trial. Cephalalgia. 2011;31(15):1510-21.
- Cote P, Yu H, Shearer HM, Randhawa K, Wong JJ, Mior S, et al. Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. Eur J Pain. 2019.
- Machado-Oliveira L, da Silva Gauto YO, de Santana Neto FJ, da Silva MG, Germano-Soares AH, Diniz PRB. Effects of Different Exercise Intensities on Headache: A Systematic Review. Am J Phys Med Rehabil. 2020;99(5):390-6.
- Winback. Pain, migraines & mobility of the cervical vertebrae with winback tecartherapy: WInback [cited 2023 September 27, 2023].
- Lee H, Shim J, Oh d. Effects of High-frequency Diathermy Integrated into Suboccipital Release on Tenderness and Neck Mobility and Disability in People with Chronic Tension-type Headache. Phys Ther Korea 2017;24(2):37-47.
Symmetry Physical Therapy is a privately owned one-on-one, patient-centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire hour. Symmetry’s specialized, dedicated, and passionate team of physical therapists is fully committed to each patient’s success.